MEDICARE: CAROL BIVINS AG-NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	2020028547	MO

General Provider Information

NPI Number	:	1154935880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL BIVINS AG-NP

Provider Business Mailing Address
First Line	:	1001 S KIRKWOOD RD STE 180
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-7254
Country	:	US
Telephone Number	:	314-543-5980
Fax Number	:	314-543-5985

Provider Business Practice Location Address
First Line	:	1001 S KIRKWOOD RD STE 180
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-7254
Country	:	US
Telephone Number	:	314-543-5980
Fax Number	:	314-543-5985

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2020
Last Update Date	:	04/16/2026

Similar Medicare Providers

1679570808 — DR. LEONARD F FAGAN M.D.
Practice Location Address:

1001 S KIRKWOOD RD , SUITE 100
SAINT LOUIS, MO
63122-7254

Practice Phone: 314-965-9980
Practice Fax: 314-965-1127

1881673788 — DR. TIMOTHY D. FARLEY M.D.
Practice Location Address:

1001 S KIRKWOOD RD , SUITE 120
SAINT LOUIS, MO
63122-7254

Practice Phone: 314-966-8887
Practice Fax: 314-966-3869

1194704833 — DR. SHERWYN JORDAN WAYNE M.D.
Practice Location Address:

1001 S KIRKWOOD RD , SUITE 120
SAINT LOUIS, MO
63122-7254

Practice Phone: 314-966-8887
Practice Fax: 314-966-3869

1609855238 — MR. TODD CHRISTOPHER SCHMIDT PA-C
Practice Location Address:

1001 S KIRKWOOD RD , SUITE 120
SAINT LOUIS, MO
63122-7254

Practice Phone: 314-966-8887
Practice Fax: 314-966-3869

1295707081 — DR. MUHAMMAD JAMIL M.D.
Practice Location Address:

1001 S KIRKWOOD RD
SAINT LOUIS, MO
63122-7254

Practice Phone: 314-543-5970
Practice Fax: 314-822-2105

1376503847 — SELECT PHYSICAL THERAPY OF ST LOUIS LIMITED PARTNERSHIP
Practice Location Address:

1001 S KIRKWOOD RD , STE 140
SAINT LOUIS, MO
63122-7254

Practice Phone: 314-821-5300
Practice Fax:

Directions to “ CAROL BIVINS AG-NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.